Normal vs. Abnormal
What is it called?
What is it called?
The patient complains of dizziness when getting up to the bathroom
Orthostatic hypotension
Abnormal
The letter "U" in the BUBBLE acronym
Uterus
Severe vaginal pain, difficulty voiding, difficulty sitting
Hematoma
Sleep and appetite disturbances, uncontrolled crying, inability to cope
Postpartum Depression
Boggy uterus
Massage the fundus
Does not respond to the infant crying
Abnormal bonding
When is vitamin K/erythromycin given?
As soon as possible after birth
Uterine tenderness, fever, heavy lochia, foul odor
Endometritis
Postpartum psychosis is considered:
An emergency
Variable decelerations on fetal monitor
Turn to left side
Unilateral tenderness, redness, or warmth to breast
Mastitis, abnormal
Have the patient void
Pain at site, fever, purulent drainage
Wound infection
The tool we use to screen women for postpartum depression:
Edinburgh Postnatal Depression Screening (EPDS)
First line medication given to patients who are hemorrhaging:
Pitocin/Oxytocin
1 day postpartum with red bleeding that is light to moderate
Normal - Rubra Lochia
Order of infant vital signs:
Heart rate, respiratory rate, temperature
Treatment for mastitis
Antibiotics, heat/cold, ensure breastfeeding is maintained, hand hygiene
When do we begin screening for postpartum depression?
At first OB visit
How to help with abdominal distention/gas pain after a c-section?
Frequent ambulation
Normal - Postpartum blues/Baby Blues
What 4 characteristics do we document about a women's lochia?
1. Amount
2. Clots
3. Color
4. Odor
Blood loss amounts for Postpartum Hemorrhage
Vaginal - > 500 mL
C-Section - > 1,000 mL
3 distinguishing signs of Postpartum Psychosis:
Nurses FIRST priority when a baby is delivered is to:
Keep the baby warm and dry